Exam 53: Caring Interventions

A nurse is providing oral care to an older adult. What findings does the nurse recognize are normal findings in this client? Select all that apply.

The nurse is caring for an older adult client and performs a bed bath and linen change. Which action by the nurse poses an increase of injury in the client?

The nurse prepares to perform a z-track injection to a client. Place the steps of the procedure in correct order.

When teaching the client about foot care, which statement will the nurse include in the teaching?

A nurse mixes two insulins in one syringe for a client with diabetes. Which action by the nurse is incorrect?

While giving the client a bath, the nurse notes the client has facial acne. What statement by the nurse will not be included when teaching the client about this condition?

The nurse is performing hearing aid care for a client and notes the hearing aid has "TM" near its on/off switch. What is the nurse's understanding of the meaning of "TM"?

The nurse cares for a client who wears soft contact lenses for vision correction. Which statement will the nurse include when teaching the client about care of the lenses?

The nurse understands that, in addition to the five client rights of medication administration, there are now more rights for safe medication administration. Which rights are the new rights for safe medication administration? Select all that apply.

The nurse delegates soft contact lens care to a UAP. Which action by the UAP requires the nurse to intervene?

A novice nurse instructs a client on the use of sublingual nitroglycerin. Which statement by the novice nurse requires intervention by the nurse preceptor?

A nurse cares for a client who receives new hearing aids for the first time. Which statements will the nurse include when teaching the client about the hearing aids? Select all that apply.

The nurse is making an occupied bed. In which order should the nurse perform when removing the top linens and adding the bath blanket?

The nurse is acting as preceptor for a novice nurse. Which action by the novice nurse requires the nurse preceptor to intervene?

A client places one hearing aid in the ear and tells the nurse, "I hear a whistling sound." Which actions will the nurse take in response to the client's statement? Select all that apply.

Prior to delegating hearing aid care to a UAP, what is the nurse's priority?

The nurse performs a skin assessment while bathing an older adult client. Which lifespan considerations regarding skin characteristics are more common in the older adult? Select all that apply.

The nurse prepares to perform oral care for a client with dentures. Place the steps in correct order for how the nurse will remove the client's dentures.

The nurse prepares to make an unoccupied bed. Place the steps in correct order of how the nurse will remove the soiled linens.

The nurse prepares to mix two medications (vial A and B) in one syringe. Place the steps in correct order for how the nurse will perform the procedure.